1110 NE 100 St (14)CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N? 852
Scr. Emc 600
Tot 13,1$7
Miami Shores Village, Florida,
12 -15 -59
Owner, Agent or Tenant of Building DT. T. R. Belmont
Lot 10 Block 178 Subdivision Miami Sores # 8
Street Address 1110 W.E. 100t4 St.
Approved use by occupancy 2 BR, 3 Bath Res. Pool and Enc.
Remarks-
This Certificate of Occupancy is issued to the above named Owner
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures. '
Plan Cube 22,673
Tax Value 11,337
Pool T.V. 1250
BUILDING DIVISION
\/
NEW CONSTRUCTION
TYPE
C. I 5 �
STORIES
1
ROOF CONSTRUCTION • c INTERIOR CONSTRUCTION
I 1 1-Z BEP Ffri 3BkT$ �v /�. 0
REPAIRS
DESCRIPTION 1
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ALTERATION DESCRIPTION
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ADDITION h M 1 - 5 r 'R Fen) .D L •Mc LO 50RE To R To / o 'o t.. , TERR, •
SUBMITTED TO PLANNING BOARD
APPROVED REJECTED
At,-,s 05 fe-_cc
REFERRED TO COUNCIL t REASONS
7 ' S ( - /2O 90
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RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
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REMARKS
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CERTIFICATE OF OCCUPANCY NO. o �
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ISSUED
v,
BY
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TO
Po Av e, o 1vt n j\,) 141 S 5. 14U(5_AGL ER T E
J7 k/. 0 E 3F NAME [ )1 ?VT
JOB LOCATION (ST. OR AVE.)
1)1 K P j 5T•
GENERAL ONTRACTOR
BUILDING PERMIT NO.
ZONE •R/24°
REQUIREMENTS
77 35
CO 0
DRAW NGS, SPECIFICATIONS. RESTRICTIONS AND
LOT
1 b
DATE 8-,2-8-513
PRESENT ADDRESS
ADDRESS I PHONE NO.
/J
PERMIT FEE $ 7 ( 11-0 IAO,. TA,, ✓AG✓c`f /,Z$D•oa
CU. FT. PLAN CUBE ( Q 73CU. FT.
CUBE CHECKED
BY:
BLOCK � � SUBDIVISION
8 . .
LICENSE NO.
EST. COST $
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
PHONE NO,
LICENSE NO.
.FRq - 7478 z72
BUILDER'S BOND
NO ,z 3 ) DATED f'F+ 3
, DATE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
ROOF
FEE
TEMPORARY SERVICE,S7/R - /L/G
BEAMS & LINTELS
SEWER
¥/ C 797 Z
POOL
$
SOLAR HEATER
FRAMING
RANGE CONN.
S
AIR COND.
$
MOTORS
FINAL
S
CLEAN UP
S
INSPECTIONS
SLAB
BY
RE- INSPECT
BY
RE- INSPECT
BY
SLAB
ill-A-
ea...osn2 i s HSAiG At
SPECIALS PERMITS
PERMIT NO.
I DATE
FEE
TEMPORARY SERVICE
REPAIRS
SPECIAL PERMITS
$
SEPTIC TANK
FEE
TEMPORARY SERVICE,S7/R - /L/G
S
SEWER
¥/ C 797 Z
H. W. HEATER CONN.
$
SOLAR HEATER
$
RANGE CONN.
S
GAS
$
MOTORS
S
S
FIXTURES -
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
ill-A-
ea...osn2 i s HSAiG At
TUB & TOP OUT
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
/ `f- -r- Sr
■R/C.
GAS
-
CONTRACTOR .5 74.( . t Et 70 , o
PHONE
PERMIT NO. 71 (.. 3 I DATE /0-2$ _ sA
FEE $ •3/•Si
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE,S7/R - /L/G
de,
f Z --Jr �/ -�72
¥/ C 797 Z
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
$
MOTORS
S
FIXTURES -
$
FIXTURES & FINAL
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
/2 -Z�1
4.<D_ -
.4.3 Ti LC.
ill-A-
ea...osn2 i s HSAiG At
, 1411444 ;
J M
0.
NEW BLDG.
IPm,F, e0
77 .Da
BUILDING
4) APPROVAL TO POWER CO. FOR SERVICE DATE
INSPECTIONSr^ aj,o.
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR J OA) S/t!/dO L4.9rvc, JAI ti
PERMIT NO. 77� 7 I DATE r /0‹.
I ALTERATION
I
ADDITION
ELECTRICAL PERMITS & INSPECTIONS
oft.
PHONE (�l
FEE $ T/, OC?
REPAIRS
BY
It,
J
W
Q
ore
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect •
Contractor
or Builder
Legal Lot /
Description
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
o PERMIT N9 7
❑
CONTRACTOR OR BUILDER
00," •1 1
Work to be performed under this Permit "
Bl.
• .
Subdi-
vision
D./
C ontractor s + 4 ;
• License No ""'
Sq. Ft
Value of
Project $ .
Amt. of
Permit $
195
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or sp is and that he assumes responsibility for work
done by his agents, servants or employees. p G
�► r
Signed • z: = �, r . ., BY
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume sponsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY ' ''
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conforrriity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Date..__ e ,
Owner's Name and Address._A • tie" • fe-44 No Street
Name and address of licensed contractor _a __. 2/ -/'Y /d'
Registered Architect and /or Engineer...
Location and legal description of lot to be built on:
Lot / G Block._ Subdivision j - f
p
) ._
G
Street and Number where work is to be done. I 4 �+ �t � L ,5 T.
State work to be done and purpose of building (by floors) _../
New Building 1/ Remodeling Addition Repairs
To be constructed of G_ • Kind of foundation C ,4 j"'
Estimated Total cost of improvements $ - - - 1t J_._- . Amount of Permit $
Zone cubage required ✓ Plan Cubage
/
Distance to next nearest building... P Size of Building Lot
STATE OF FLORIDA
COUNTY OF DADE. ss.
peared
and who, being by me first duly sworn, upon oath deposes and says that he
of the above described construction, that he has carefully read the foregoing
therein by him stated are truer
Permit No 7
Disapproved D
(Signed)
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Building Inspector
BUILDING INSPECTION DEPARTMENT
Date 7 ` ' 5 v
and for no other purpose.
7
��� �1 j .7 7�0 1
Roof Coverin
Read, Sworn to and Subscribed before me.
g e , t4 z 3 r-2-
No Stories l
g
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to l
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such sufeoptractors, o to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
to me well known,
is the_ . •Yj,
application, and that he did sign the same, and that all facts
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
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